NPI | 1104911031 |
---|---|
Doing Business As | HILLSIDE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PATRICIA BALLMAN Executive Director 814-452-5296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-10-04 |
Last Update Date | 2010-11-02 |